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Atient outcomes of those they have cared for (villanueva, 1999). Johnson and bakas (2011) noted that feedback on positive patient outcomes may facilitate guideline implementation in the emergency department. mejor viagra viagra o viagra Providing information on positive patient outcomes to enhance nurses' well-being was not noted in aann's (2009) clinical practice guidelines, aha's guidelines for the management of asah patients in bederson et al. (2009), or summers et al. viagra online without prescription (2009). The guidelines for the management of asah patients by aha address interventions and assessments for neurophysiological parameters; however, the role of the nurse is not mentioned (bederson et al. viagra time between.doses , 2009). viagra 100 mg zu viel Because the guidelines focus on the role of neurologists, issues regarding the psychosocial needs of patients and their families as well as the importance of maintaining a therapeutic milieu, preventing further injury, and giving patients a chance were not addressed. discount pharmacy viagra Summers et al. viagra 100 mg zu viel (2009) addressed the roles of multiple disciplines, including the role of nurses in the care of stroke patients; whereas aann's (2009) clinical practice guidelines gave a very comprehensive overview of the nurse's roles and responsibilities while caring for the asah patient. A statement on multidisciplinary care, specific to the care of asah patients, might enhance guideline implementations from the entire healthcare team. viagra from india online pharmacy Limitations a possible limitation of this study was that all interviewed nurses were caucasian women, with almost all working the day shift. In addition, a small convenience sample was used from within one institution. cheap generic viagra Because findings were based on nurses' recollections of the care they provided to a specific asah patient, findings may not have represented actual interventions and assessments provided for all patients. Despite these limitations, this study provides preliminary evidence of assessments and interventions that nurses commonly provide to asah patients. Further research in this area is needed. Conclusion nurses provide essential interventions and assessments to critically ill asah patients. cheap viagra super p force Interventions and assessments were found in five main areas: neurophysiological care, psychosocial needs of patients and their families, injury prevention, maintaining a therapeutic milieu, and giving these challenging patients a chance. viagra without prescription The interventions and assessments identified in this study provide a useful guide for future research. viagra cheap online canada Determining which interventions and assessments have the most impact on asah p. buy generic viagra viagra 100 mg zu viel We have excellent experience with unusual and hard container loads.